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ListenToYour Ears
Hearing Loss & Hearing Solutions
1. To educate as many people as possible.
2. To clarify as much as possible.
3. To empower people who are reluctant to make a change.
Cheryl Morehouse, BC-HIS
Board Certified Hearing Instrument Specialist with
35 years experience,
head office in Fredericton, NB
4 Hearing Clinics in NB & NS
My Reasons
 My passion
 Make the “invisible handicap”
disappear.
 Hi-tech & cool.
Reasons for
Better Hearing
Any change in your
hearing can have a
serious, negative effect on
your quality of life and
mental health.
 There is no reason that
anyone should suffer
with less than optimal
hearing.
Advances in hearing
techno logy has been so
remarkable in just the last
3 to 5 years.
 The brains of people
with hearing loss shrink
faster than those who’s
hearing has not
diminished.
Hearing
andCognition
 hear·ing
 /ˈhiriNG/
 the faculty of perceiving sounds
 synonyms: ability to hear, auditory perception, sense of
hearing, aural faculty
 cog·ni·tion
 käɡˈniSH(ə)n/
 the mental action or process of acquiring knowledge and
understanding through thought, experience, and the senses.
 synonyms: perception, discernment, apprehension, learning,
understanding, comprehension, insight.
Cognition
Listening Effort
 Hearing aids can greatly reduce listening effort.
 A reduction in background noise can improve listening.
Memory &
Dementia
 Hearing loss is a potential contributing factor to other medical and
psychological issues.
 The brains of people with hearing loss shrink faster than those
whose hearing has not diminished.
 After hearing aid use, improved
attention and word recollection.
 Processing speed was faster.
Reference: Jamie Desjardins, PhD, an assistant professor in the
speech‐language pathology program atThe University ofTexas
at El Paso January 26, 2016
Hearing Loss
& Depression
 hear·ing
 /ˈhiriNG/
 the faculty of perceiving sounds
 synonyms: ability to hear,
auditory perception, sense of
hearing, aural faculty
de.press.ion
 /dɪˈpreʃn/
 a serious medical condition in
which a person feels very sad,
hopeless, and unimportant and often is unable to live in a normal
way
Reference: http://www.healthyhearing.com/report/52437-The-complex-link-
between-depression-and-hearing-loss
HowWe Hear
Ear Canal
Ear Drum
Ossicles
Cochlea
Auditory
Nerve
NormalHearingvs.HearingLoss
WhatDoesHearingLossLookLike?
Untreated
 Sadness and depression
 Worry and anxiety
 Paranoia
 Less social activity
 Emotional turmoil and
insecurity
Treated
 Better relationships with
their families
 Better feelings about
themselves
 Improved mental health
 Greater independence and
security
Causes
 Noise Exposure
 Aging
 Genetics
 Illness, such as:
Ear Infections
Meningitis, Measles, Mumps
Chicken Pox & Influenza
 Ototoxic drugs
Related Health
Concerns
Serious health concerns:
Hearing loss is associated with many health conditions including:
 diabetes
 cardiovascular disease
 higher risk of falls
5Stages ofGrief
 Denial
 Anger
 Bargaining
 Depression
 Acceptance
What to Do
Now?
Acknowledge & Own It!
HelpYourself!
Educate / Advocate!
HowYouCanHelpOthers
Intro to
HearingAids
How Hearing AidsWork
 Simplified:
 Sounds are picked up by the hearing aid MICROPHONE.
 The sound is made louder by the AMPLIFIER.
 The sound exits the SPEAKER and into the ear canal.
 Hearing aids are tiny computers that:
 Help distinguish speech in noise
 Reduce feedback
 Are customizable to your loss and needs
 Come in all shapes and sizes
 Pair with accessories
HearingAids
Better Hearing…
improves independence.
allows you to become more socially
engaged.
improves quality of life.
improves personal safety.
Tinnitus
BUZZING
ringing
humming
chirping
ROARING
Heart Beat
DidYou Know
 Tinnitus can be worse when you do certain activities
 It can only be noticeable when it’s quiet
 Your food or drink choices may play a role
 Stress, nervousness and anxiety can contribute
 Exposure to loud noises can also contribute
 Tinnitus can cause trouble concentrating
 It can cause trouble sleeping
 It can affect your hobbies & activities
 It can make you irritable
 It can certainly get in the way of your hearing
HowTo
Choose
WhatWe Do
 Expect customization from the
very first consultation.
 Hearing aids are ordered and
custom fit to your loss, your
needs, and your budget.
Differences in Hearing
Loss NEED
Customization
OurGuarantee
BONUS
Please contact
our closest location,
by phone or by email,
for your FREE copy of
“ListenToYour Ears”
hearing@nbnet.nb.ca
Our Locations
Woodstock
559-561 Main Street
Woodstock, NB E7M 2B9
(506) 325-2723
Amherst
211 South Albion Street
Amherst, NS B4H 2X2
(902) 667-5433
Fredericton
111-1133 Regent Street
Fredericton, NB E3B 3Z2
(506) 452-2913
Moncton
271 St. George Street
Moncton, NB E1C 1W7
(506) 857-4252
hearing@nbnet.nb.ca
“I knew I would hear better but it was
unbelievable how much better I hear. Everyone
I work with is very happy that I have them!”
– D. Ebbett
“I drove my kids crazy asking them to repeat
everything they said. What a joy to hear and
not be pretending.” – G. Riley
“The hearing aids are awesome, quite a life
changer.They’re perfect.” – B. Kenney

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Hearing Web Class

  • 1. ListenToYour Ears Hearing Loss & Hearing Solutions
  • 2. 1. To educate as many people as possible. 2. To clarify as much as possible. 3. To empower people who are reluctant to make a change. Cheryl Morehouse, BC-HIS Board Certified Hearing Instrument Specialist with 35 years experience, head office in Fredericton, NB 4 Hearing Clinics in NB & NS
  • 3. My Reasons  My passion  Make the “invisible handicap” disappear.  Hi-tech & cool.
  • 4. Reasons for Better Hearing Any change in your hearing can have a serious, negative effect on your quality of life and mental health.  There is no reason that anyone should suffer with less than optimal hearing. Advances in hearing techno logy has been so remarkable in just the last 3 to 5 years.  The brains of people with hearing loss shrink faster than those who’s hearing has not diminished.
  • 5. Hearing andCognition  hear·ing  /ˈhiriNG/  the faculty of perceiving sounds  synonyms: ability to hear, auditory perception, sense of hearing, aural faculty  cog·ni·tion  käɡˈniSH(ə)n/  the mental action or process of acquiring knowledge and understanding through thought, experience, and the senses.  synonyms: perception, discernment, apprehension, learning, understanding, comprehension, insight.
  • 6. Cognition Listening Effort  Hearing aids can greatly reduce listening effort.  A reduction in background noise can improve listening.
  • 7. Memory & Dementia  Hearing loss is a potential contributing factor to other medical and psychological issues.  The brains of people with hearing loss shrink faster than those whose hearing has not diminished.  After hearing aid use, improved attention and word recollection.  Processing speed was faster. Reference: Jamie Desjardins, PhD, an assistant professor in the speech‐language pathology program atThe University ofTexas at El Paso January 26, 2016
  • 8. Hearing Loss & Depression  hear·ing  /ˈhiriNG/  the faculty of perceiving sounds  synonyms: ability to hear, auditory perception, sense of hearing, aural faculty de.press.ion  /dɪˈpreʃn/  a serious medical condition in which a person feels very sad, hopeless, and unimportant and often is unable to live in a normal way Reference: http://www.healthyhearing.com/report/52437-The-complex-link- between-depression-and-hearing-loss
  • 9. HowWe Hear Ear Canal Ear Drum Ossicles Cochlea Auditory Nerve
  • 12. Untreated  Sadness and depression  Worry and anxiety  Paranoia  Less social activity  Emotional turmoil and insecurity Treated  Better relationships with their families  Better feelings about themselves  Improved mental health  Greater independence and security
  • 13. Causes  Noise Exposure  Aging  Genetics  Illness, such as: Ear Infections Meningitis, Measles, Mumps Chicken Pox & Influenza  Ototoxic drugs
  • 14. Related Health Concerns Serious health concerns: Hearing loss is associated with many health conditions including:  diabetes  cardiovascular disease  higher risk of falls
  • 15. 5Stages ofGrief  Denial  Anger  Bargaining  Depression  Acceptance
  • 16. What to Do Now? Acknowledge & Own It! HelpYourself! Educate / Advocate!
  • 18. Intro to HearingAids How Hearing AidsWork  Simplified:  Sounds are picked up by the hearing aid MICROPHONE.  The sound is made louder by the AMPLIFIER.  The sound exits the SPEAKER and into the ear canal.  Hearing aids are tiny computers that:  Help distinguish speech in noise  Reduce feedback  Are customizable to your loss and needs  Come in all shapes and sizes  Pair with accessories
  • 20. Better Hearing… improves independence. allows you to become more socially engaged. improves quality of life. improves personal safety.
  • 22. DidYou Know  Tinnitus can be worse when you do certain activities  It can only be noticeable when it’s quiet  Your food or drink choices may play a role  Stress, nervousness and anxiety can contribute  Exposure to loud noises can also contribute  Tinnitus can cause trouble concentrating  It can cause trouble sleeping  It can affect your hobbies & activities  It can make you irritable  It can certainly get in the way of your hearing
  • 25.  Expect customization from the very first consultation.  Hearing aids are ordered and custom fit to your loss, your needs, and your budget. Differences in Hearing Loss NEED Customization
  • 27. BONUS Please contact our closest location, by phone or by email, for your FREE copy of “ListenToYour Ears” hearing@nbnet.nb.ca
  • 28. Our Locations Woodstock 559-561 Main Street Woodstock, NB E7M 2B9 (506) 325-2723 Amherst 211 South Albion Street Amherst, NS B4H 2X2 (902) 667-5433 Fredericton 111-1133 Regent Street Fredericton, NB E3B 3Z2 (506) 452-2913 Moncton 271 St. George Street Moncton, NB E1C 1W7 (506) 857-4252 hearing@nbnet.nb.ca
  • 29. “I knew I would hear better but it was unbelievable how much better I hear. Everyone I work with is very happy that I have them!” – D. Ebbett “I drove my kids crazy asking them to repeat everything they said. What a joy to hear and not be pretending.” – G. Riley “The hearing aids are awesome, quite a life changer.They’re perfect.” – B. Kenney

Editor's Notes

  1. Hi, My name is Cheryl and I’ll be presenting this webinar today To educate as many people as possible about how valuable their hearing is To clarify as much as possible and help people make a decision To inspire people who are reluctant to make a change Change is hard at first, messy in the middle, and beautiful at the end. The average person waits 7 to 10 years to seek help. The percentage of people who have hearing loss and who wear hearing aids has not budged in years. Less than optimal hearing has been linked to an increased risk of serious health problems. Bonus at the end.
  2. My passion for my work is rooted in my personal experience of having a younger brother who was born profoundly deaf. Far too often, he was excluded from family activities due to his inability to hear. My passion for my work is an expression of my love for him & an innate need to make the world a better place. We are entering an era where it may be possible to make the “invisible handicap” disappear. The latest wave of technology has made hearing devices so sleek and hi-tech that they’re cool. I want you to know that being able to hear better is not just a matter of convenience or comfort; it has a powerful influence on the quality of your life and your family and friends will thank you for it.
  3. Any change in your hearing can have a serious, negative effect on your quality of life and mental health. There is no reason that anyone should suffer with less than optimal hearing. Advances in hearing techno logy has been so remarkable in just the last 3 to 5 years The brains of people with hearing loss shrink faster than those who’s hearing has not diminished.
  4. There is a difference between hearing and understanding. Loud enough is not the same as clear enough! Most people say they can hear but just can’t make out what people are saying. Sometimes women and children are harder to understand. Have a harder time hearing in background noise. Maybe the TV is louder than normal. Having difficulty hearing on the phone. It is physically tiring to listen with such intent all the time to make sure you don’t miss anything.
  5. Listening Effort: What effect do hearing aids have on listening effort? Hearing loss is mentally exhausting. It is very tiring to have to focus all the time and try to constantly piece together the missing pieces of what you’re hearing. Reducing listening effort: has multiple impacts can change your social interaction with family and friends can change psychology What higher technology can do: noise reduction directionality
  6. Hearing health professionals and the hearing care industry must be the ones who ensure that hearing loss is recognized not only for its own treatment, but also as a potential contributing factor to the successful resolution of other medical and psychological issues. University of Texas at El Paso Professor shows that hearing aids improve memory and speech. Results (After 2 weeks of hearing aid use): • Increase in percent scores for recalling words • Improvement in working memory and selective attention tests • Processing speed at which participants selected the correct response was faster By the end of the study, participants had exhibited significant improvement in their cognitive function. Reference: Jamie Desjardins, PhD, an assistant professor in the speech‐language pathology program at The University of Texas at El Paso January 26, 2016 Strongly recommend hearing assessment as part of screening process for dementia and Alzheimer’s disease.
  7. Hearing Loss and Depression Hearing loss is the third most occurring condition in older adults. Social isolation as a result of hearing loss leads to depression, especially in older adults. More than 11 percent of those with hearing loss also had depression, as opposed to only 5 percent in the general population. In employees aged 33-55, those with untreated mild to moderate hearing loss were more prone to depression, anxiety and interpersonal sensitivity than those with no hearing problems. Fatigue, difficulty concentrating, loss of appetite, irritability and loss of interest in hobbies can all be signs of depression. Reference: http://www.healthyhearing.com/report/52437-The-complex-link-between-depression-and-hearing-loss
  8. Sound funnels into the external auditory canal (ear canal) and causes the eardrum to move. The eardrum vibrates with sound. Sound vibrations move through the ossicles (incus, malleus and stapes which are the 3 tiniest bones in the human body) to the cochlea. Sound vibrations cause the fluid in the cochlea to move. Fluid movement causes the hair cells to bend. Hair cells create neural signals which are picked up by the auditory nerve. The auditory nerve sends signals to the brain where they are interpreted as sounds.
  9. We hear across a wide range of sound frequencies or pitches. 250 Hz (Hertz) is a low frequency sound and 8000 Hz is a high frequency sound. In other words, the lower the number, the lower the pitch of the sound. The range of 250 to 8000 Hz represents the frequencies most useful for listening to speech, which is why audiologists and hearing specialists test through this range. The audiogram of a person without hearing loss would show hearing at all frequencies between -10 to 25 dB. All recordings on the audiogram greater than 25 dB represent a hearing loss at that frequency.
  10. When you need the TV volume up so high that it disturbs your family. When you have trouble hearing a caller on the phone. When you find yourself saying “what?’ during normal conversation. When you start favouring one ear over the other when trying to hear. When you frequently misunderstand what’s being said. When everyone appears to be mumbling. When you don’t know where sound is coming from. When you can’t follow a conversation in a noisier environment.
  11. Untreated: Sadness and depression Worry and anxiety Paranoia Less social activity Emotional turmoil and insecurity Treated Better relationships with their families Better feelings about themselves Improved mental health Greater independence and security
  12. Causes of hearing loss include: Noise exposure at work or other loud events such as concerts Aging Genetics Ototoxic drugs Ototoxic Drugs Illness (examples) Autoimmune Disease Meniere’s Syndrome Acoustic Neuromas
  13. HL often associate with: Diabetes Cardiovascular Disease Higher risk of falls There are several diseases and health issues that can contribute to or even cause your hearing loss. As with hearing loss, these issues left untreated will only get worse.
  14. 5 stages of grief (because hearing loss is a loss) Denial Refusal to believe we have a hearing loss. ‘The problem ‘really’ is that everyone else mutters.’ Anger towards anyone related to loss e.g. ENT doctor, audiologist. ‘What I need is a cure not a hearing aid.’ Bargaining ‘If my hearing comes back I’ll be nicer to people.’ Depression ‘I might as well give up going out with my friends if I can’t hear a word they say.’ Acceptance ‘We had a wonderful holiday after all. There is life after loss of hearing.’
  15. What to Do: You have a hearing loss, acknowledge it, own it and get on with it! Polish your coping and communication skills Help your friends and family Get hearing aids and learn how to use them Take advantage of assistive technology Pass on what you learn Educate/Advocate for better hearing
  16. If you are the one helping someone with hearing loss… Communication tips: Repeat and/or rephrase Simplify message content; highlight key words Supplement spoken language with nonverbal and written communication Use a moderate, rather than slow or fast rate of speech Speak face-to-face and make sure your face is visible (well lit, nothing in front of mouth, etc.) Make it obvious when you are changing the topic of conversation Avoid noisy, busy environments Limit group conversations and focus on one-on-one conversations Reduce distractions
  17. See slide
  18. STYLES Body (in the past) Receiver in canal (RIC) Behind The Ear (BTE) In The Ear (ITE) In The Canal (ITC) Completely In the Canal (CIC)
  19. How Can Better Hearing Help? • Improves independence • Allows you to become more socially engaged • Improves quality of life • Improves the patient’s safety Hearing instrument users are more likely to report improvements in their physical, emotional, mental and social well-being. Family members and friends are more likely to notice these benefits than the actual users themselves. There is a strong correlation between a strong social network and quality of life as you age.
  20. TINNITUS Sound you hear that no one else does. Sounds: ringing, buzzing, chirping, clicking, roaring, rushing, heart beat… It can be heard in one ear, both ears or in your head. Can be constant, Comes and Goes, fluctuate in volume Tinnitus is heard when the auditory nerves are stimulated without an external cause. Basically, your nerve endings are sending messages to your brain that a sound is heard even though no sound is actually there. Your nerve endings (sometimes called Hair Cells) are over-stimulated! But why??? Often due to damage because of excessive noise exposure causing damage to hair cells.
  21. See Slide
  22. Introduction to Hearing Aid Features by Steve Barber, HLAA-Wake Chapter Hearing aids are Expensive. Hearing aids aren’t like glasses. You need to be an informed consumer. You need to know how to use the aid. There are a lot of misconceptions about hearing. Hearing better is UP TO YOU! • Highest Priority: Hearing Better • High Priority: Learning to Use Your Aid • Lowest Priority: Vanity Put hearing better as the top priority. Put vanity at the bottom of your priorities. Be a savvy consumer; know what features might help you. Watch out for people trying to sell you what they THINK you want. Choose a provider that lets you try multiple aids/settings. Small is not necessarily better (and usually isn’t). Watch out for sales pitches; if it sounds too good to be true; it probably is. Get professional help from someone you trust. New is not necessarily better (but sometimes is). Use the trial period. Try the aids in different situations and make notes. Work with your provider during the trial period by explaining what things sound good or bad to you.
  23. Team of: Audiologist Hearing instrument specialists Customer care coordinators Why do you want better hearing? What motivated you to come in? We help you find your “why”.
  24. Fitting is an art and science … not like glasses 100-day trial period Your #1 PRIORITY is Better Hearing
  25. Our clients experience a higher degree of satisfaction with their hearing aids than the industry average. This is simply because I hold the highest standards for best practices at my company. The longer you wait to begin using hearing technology, the faster your hearing loss will deteriorate. Wearing hearing aids will help your hearing from getting worse.
  26. Thank you for watching this webinar all the way through. We appreciate your interest in learning the most you can about your hearing and hearing loss. You can help yourself, or a loved one, with this bonus, almost a $30 value, just contact us for your free copy. If you are wondering how to help your loved one, this book can help start the conversation about better hearing. Email to hearing@ nbnet.nb.ca for an e-Book or paperback delivered to your door.
  27. I want to extend a special thanks to our all of our clients for their loyal support over the years. From all of us at Innovative Hearing, Thank you for being our client! Here’s what some of them have to say…